Economic implications of method of delivery
Economic implications of method of delivery
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DOI：
10.1016/j.ajog.2004.10.635
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发表时间：
2005-07-01
影响因子：
9.8
通讯作者：
Baskett, TF
中科院分区：
文献类型：
--
作者：
Allen, VM;O'Connell, CM;Baskett, TF
目的：本研究进行了检查与不同的方法deliver.Study设计：一个18年的人口为基础的队列研究（1985-2002年），使用新斯科舍省Atlee围产期数据库进行比较，在未经产妇的妇女在长期进行自发或引产计划阴道分娩，或进行剖宫产分娩无劳动力的成本。评估的成本包括医生费用，在劳动和分娩，产后和新生儿重症监护室，硬膜外使用，引产剂，和consumers.Results的护理时间：共27,614妊娠符合纳入和排除标准，其中5233引产。每对母婴的平均成本比较表明，剖宫产分娩（2137美元）与自然阴道分娩（1340美元，P =.01），辅助阴道分娩（1594美元，P =.01）和剖宫产分娩（1532美元，P =.01）相比有所增加。引产后分娩的费用（$1715）较自然分娩的费用（$1474）增加，P
Objective: This study was undertaken to examine the costs of hospital care associated with different methods of delivery.Study design: An 18-year population-based cohort study (1985-2002) using the Nova Scotia Atlee Perinatal Database compared outcomes in nulliparous women at term undergoing spontaneous or induced labor for planned vaginal delivery, or undergoing cesarean delivery without labor. Costs that were assessed included physician fees, nursing hours in the labor and delivery, postpartum and neonatal intensive care units, epidural use, induction of labor agents, and consumables.Results: A total of 27,614 pregnancies satisfied inclusion and exclusion criteria; 5233 of which had labor induced. A comparison of mean costs per mother/infant pair demonstrated that cesarean delivery in labor ($2137) was increased compared with spontaneous vaginal delivery ($1340, P =.01), assisted vaginal delivery ($1594, P =.01), and cesarean delivery without labor ($1532, P =.01). The cost of delivery after induction of labor ($1715) was increased compared with spontaneous onset of labor ($1474, P